Angina Pectoris: Pathophysiology and Symptoms

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Questions and Answers

What can cause a coronary artery dissection?

  • Coronary artery spasm
  • Blunt chest trauma (correct)
  • Coronary embolism
  • Severe anemia

Which of the following can trigger a coronary artery spasm?

  • Stress (correct)
  • Carbon monoxide poisoning
  • Severe anemia
  • Vasculitis

What can be a consequence of carbon monoxide poisoning?

  • Reduced ability to carry oxygen (correct)
  • Increase in oxygen carrying capacity
  • Blockage of coronary arteries
  • Narrowing of coronary arteries

What is a potential cause of vasculitis?

<p>Inflammatory conditions (A)</p> Signup and view all the answers

What is a consequence of coronary embolism?

<p>Blockage of coronary arteries (B)</p> Signup and view all the answers

What is a potential effect of severe anemia?

<p>Reducing the blood's ability to carry oxygen (B)</p> Signup and view all the answers

What is a consequence of having high levels of LDL cholesterol?

<p>Accelerated plaque formation (A)</p> Signup and view all the answers

Which of the following can contribute to high blood pressure?

<p>Chronic stress (B)</p> Signup and view all the answers

What is a characteristic of atypical angina?

<p>It has one or less of the features of typical angina (A)</p> Signup and view all the answers

What can increase the risk of CAD due to putting extra strain on the heart?

<p>Being overweight or obese (B)</p> Signup and view all the answers

What can damage blood vessels and increase the risk of CAD?

<p>Diabetes (B)</p> Signup and view all the answers

What is the most common form of angina pectoris?

<p>Stable or typical angina pectoris (C)</p> Signup and view all the answers

What is the primary underlying cause of Angina pectoris?

<p>Atherosclerotic coronary arteries (C)</p> Signup and view all the answers

Which of the following is a characteristic of Angina pectoris?

<p>It is a symptom of an underlying heart problem (A)</p> Signup and view all the answers

What is the primary reason for the imbalance between oxygen demand and supply of the heart muscle in Angina pectoris?

<p>Narrowing of coronary arteries due to atherosclerosis (A)</p> Signup and view all the answers

What is the typical location of the chest pain experienced in Angina pectoris?

<p>Central or retrosternal (C)</p> Signup and view all the answers

What is the effect of rest on the symptoms of Angina pectoris?

<p>It decreases the symptoms (B)</p> Signup and view all the answers

What is the characteristic of Angina pectoris episodes?

<p>They are episodic (C)</p> Signup and view all the answers

What is the primary purpose of a cardiac CT scan?

<p>To assess the overall condition of the heart (C)</p> Signup and view all the answers

What is the significance of ST-segment depression on an ECG during an angina episode?

<p>It indicates myocardial ischemia (C)</p> Signup and view all the answers

What is the goal of managing angina pectoris?

<p>To relieve symptoms and improve quality of life (C)</p> Signup and view all the answers

What is the characteristic change seen on an ECG during an angina episode?

<p>ST-segment depression (B)</p> Signup and view all the answers

What is the significance of T-wave inversion on an ECG?

<p>It indicates a previous episode of myocardial ischemia (A)</p> Signup and view all the answers

What is considered the gold standard for diagnosing significant coronary artery disease?

<p>Coronary angiography (C)</p> Signup and view all the answers

What is the primary cause of angina pectoris?

<p>Atherosclerotic disease with ≥70% narrowing of lumen (D)</p> Signup and view all the answers

What is characteristic of unstable angina?

<p>Pain occurs with progressively increasing frequency and is precipitated with progressively less exertion (D)</p> Signup and view all the answers

What is the purpose of nitroglycerin in treating angina pectoris?

<p>To act as a strong vasodilator (B)</p> Signup and view all the answers

What is the term for angina that occurs at rest and is due to coronary artery spasm?

<p>Prinzmetal variant angina (C)</p> Signup and view all the answers

What is the significance of unstable angina?

<p>It is a precursor to subsequent acute MI (C)</p> Signup and view all the answers

What is the characteristic of pain in stable angina?

<p>Pain is episodic and associated with exertion or stress (D)</p> Signup and view all the answers

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